Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.33 / $589.02 / $5,320.00	Facility		$359.33	$589.02	$5,320.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $269.50 / $330.03 / $441.77	Facility	54	$269.50	$330.03	$441.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.33 / $445.19 / $589.02	Professional		$359.33	$445.19	$589.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.37 / $412.34 / $611.29	Professional		$331.37	$412.34	$611.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $392.21 / $560.05 / $646.05	Facility		$392.21	$560.05	$646.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $400.04 / $560.05 / $877.82	Professional		$400.04	$560.05	$877.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.96 / $736.07 / $736.07	Facility		$508.96	$736.07	$736.07
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $515.25 / $515.25 / $515.25	Facility	54	$515.25	$515.25	$515.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.90 / $603.25 / $869.85	Professional		$430.90	$603.25	$869.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $570.58	Professional		$32.34	$32.34	$570.58
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $408.78 / $605.53 / $934.92	Professional		$408.78	$605.53	$934.92